Provider Demographics
NPI:1528587482
Name:BIRKMANN EYE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:BIRKMANN EYE ASSOCIATES PLLC
Other - Org Name:GEORGETOWN VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRKMANN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-869-8821
Mailing Address - Street 1:1013 W UNIVERSITY AVE STE 135
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-5359
Mailing Address - Country:US
Mailing Address - Phone:512-869-8821
Mailing Address - Fax:
Practice Address - Street 1:1013 W UNIVERSITY AVE STE 135
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-5359
Practice Address - Country:US
Practice Address - Phone:512-869-8821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9137T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty